Stephanie Marie Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020987 Issued in NY

Practice address

1054 James St
Syracuse, NY 13203-2749

Phone

(315) 422-2912

Fax

(315) 422-3538

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Stephanie Marie Colonna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Murray J Saucier

  • Physical Therapist
  • Syracuse, NY
  • NPI 1790849966
  NPD (past)
• Summit Physical Therapy LLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1720082464
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1851454029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032749",
            "telephone_number": "315-422-2912",
            "fax_number": "315-422-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032749",
            "telephone_number": "315-422-2912",
            "fax_number": "315-422-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "410505",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "000133059",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3119361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "COLONNA",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Lee Johnson, FNP
• Lewis W Johnson, MD
• Matthew B Johnson, B.S.
• Mika Latoy Johnson, LPN
• Shaliima Johnson
• Tristen Johnson, MFT
• Belinda L Johnston, LPN
• Sarah C Johnston, LMT
• Tareya Rachell Johnston, L.P.N
• Erin E Johnstone

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.